Susan M Cable, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3470 Issued in WI

Practice address

5707 75 Street
Kenosha, WI 53142-3603

Phone

(262) 697-0321

Fax

(262) 269-0312

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susan M. Cable, DDS, SC

  • General Practice Dentistry
  • Kenosha, WI
  • NPI 1427735463
  NPD Authorized official
• Kenosha Family Dentistry

  • General Practice Dentistry
  • Kenosha, WI
  • NPI 1033941067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1083634679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 75 STREET",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423603",
            "telephone_number": "262-697-0321",
            "fax_number": "262-269-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 75 STREET",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423603",
            "telephone_number": "262-697-0321",
            "fax_number": "262-269-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tilly Burroughs, APNP, PMHNP-BC
• Julie Ann Burrow
• Tiffany Ann Burton
• Amy Busalacchi, OTR
• Kyle Butler, LPC-IT
• Kristin J Cabranes, MSOM, BS, L.AC
• Carina Cacanindin, PT
• Theresa Cafaro, MD
• Annie Cai, SLP
• Carneisha Symone Cain, DDS

• General Practice Dentistry in Kenosha, WI
• Providers in Kenosha, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.